Product Overview
AgentProtect is a product offering of RealProtect, a leading retail insurance brokerage that is wholly focused on the real estate sector. We are dedicated professionals able to provide quick responses and expert handling of customer needs.
Ease of Doing Business
simplified bind and administration process.
National Coverage: product is available in most states where real estate agents are exempt from workers' compensation insurance Coverage may not be available in all states
Product is available for All licensed Real Estate Salespersons as named on file with the Policyholder.
Covered Activities
Commuting
The Covered Accident must take place while the Insured is commuting directly between his or her home and the Policyholder’s premises where he or she normally works.
Benefits will not be payable for Covered Accidents that occur more than two hours after the Insured leaves his or her home or place of employment, unless it can be conclusively established that: the delay was caused by conditions beyond the Insured’s control; or more time was needed for normal direct commuting.
Full Occupational without Personal Deviation
The Covered Accident must take place on the Policyholder’s premises; and in the course of the Insured’s job; or on a business trip authorized by the Policyholder.
This coverage will start at the actual start of the trip. It does not matter whether the trip starts at the Insured’s home, place of work, or other place. It will end on the first of the following dates to occur:
1. the date the Insured returns to his or her home;
2. the date the Insured returns to his or her place of work; 3 the date the Insured makes a Personal Deviation
“Personal Deviation” means:
1. an activity that is not reasonably related to the Policyholder’s business; and 2. not incidental to the purpose of the trip.
Plan Benefits
Accidental Death & Dismemberment
Principal Sum: $150,000
Accident Medical Expense Benefits
Benefit Maximum: $1,000,000
Maximum Benefit Period: 730 days from the date of the Covered Accident
lncurral Period: 30 days from the date of the Covered Accident
Deductible: $0
Co-insurance Rate:100% of the Usual and Customary Charges
Scope Of Coverage
Full Excess Benefits - We will pay Covered Expenses: 1) after the Covered Person satisfies any Deductible; and 2) only when they are in excess of amounts paid by any other Health Care Plan. We pay benefits without regard to any Coordination of Benefits provisions in any other Health Care Plan.
Disability Benefit (Temporary Total Disability)
Benefit Waiting Period: 7 days
Maximum Benefit Period: 104 weeks
Temporary Total Disability must begin within: 30 days from the date of the Covered
Weekly Benefit Amount: : 70% of Average Weekly Earnings up to a maximum of $600 per week
"Average Weekly Earnings" means the Insured's prior year's taxable income or wages as reported for Federal Income Tax purposes, provided the Insured's occupation was essentially the same as his or her current occupation, divided by 52 or the number of weeks actually worked if less than 52.
Aggregate Limit: Benefit Maximum: $5,000,000 per Covered Accident
We will not pay more than the Benefit Maximum for all losses per covered accident. If, in the absence of this provision, we would pay more than the Benefit Maximum for all losses from one covered accident, then the benefits payable to each person with a valid claim will be reduced proportionately, so the total amount we will pay is the Benefit Maximum
Benefits & Features
Accidental Death & Dismemberment Benefits
We will pay benefits if a covered person is injured in a covered accident and, within 365 days of that accident, suffers one of the losses shown below. If multiple losses occur, only one benefit amount-the largest-will be paid for all losses due to the same accident.
Covered Loss
Life
Two or more Members
Quadriplegia
Loss of Use of Four Limbs
Loss of Use of Three Limbs
Loss of Use of Two Limbs
One Member
Hemiplegia
Paraplegia
Loss of Use of One Limb
Thumb and Index Finger of the Same hand
Uniplegia
Benefit Amount
100% of the Principal Sum
100% of the Principal Sum
100% of the Principal Sum
100% of the Principal Sum
75% of the Principal Sum
67% of the Principal Sum
50% of the Principal Sum
50% of the Principal Sum
50% of the Principal Sum
50% of the Principal Sum
25% of the Principal Sum
25% of the Principal Sum
"Quadriplegia" means total paralysis of both upper and lower limbs. "Hemiplegia" means total paralysis of the upper and lower limbs on one side of the body. "Uniplegia" means total paralysis of one lower limb or one upper limb "Paraplegia" means total paralysis of both lower limbs or both upper limbs. "Paralysis" means total loss of use. A doctor must determine the loss of use to be complete and not reversible at the time the claim is submitted. "Member" means loss of hand or foot, loss of sight, and loss of speech "Loss of hand or foot" means complete severance through or above the wrist or ankle joint. "Loss of sight" means the total, permanent loss of sight of one eye. "Loss of a thumb and index finger of the same hand" means complete severance through or above the metacarpophalangeal joints of the same hand (the joints between the fingers and the hand). "Severance" means the complete separation and dismemberment of the part from the body.
Age Reduction Schedule. The amount payable for a loss will be reduced if a Covered Person is age 70 or older on the date of the Covered Accident causing the loss. The amount payable for the Covered Person’s loss is a percentage of the amount that would otherwise be payable, as shown below.
AGE ON DATE OF
Accident Medical Expense Benefits
We will pay additional benefits for the covered accident medical expense benefits listed below that result directly from injury caused by a covered accident. Benefit payments are subject to any deductibles, co-insurance payments, and benefit maximums that apply.
Accident Medical Expense Benefits are only payable:
1. for usual and customary charges incurred after the deductible has been met;
2. for those medically necessary covered expenses that the covered person receives; and
3. if the first incurred expenses are within the incurral period.
No benefits will be paid for any expenses incurred that, in our judgment, are in excess of usual and customary charges. "Usual and customary charge" means the average amount charged by most providers for treatment, service, or supplies in the geographic area where the treatment, service, or supply is provided.
Covered medical expenses include, but are not limited to
• Hospital semi-private room and board (or room and board in an intensive care unit);
• Hospital ancillary expenses (including, but not limited to, use of the operating room or emergency room);
• Services of a doctor;
• Ambulance service to a hospital;
• Laboratory tests, diagnostic x-rays, mris, and cat scans;
• Doctor's, assistant surgeon's, and anesthesiologist's surgical and anesthesia expenses;
• Outpatient surgical room and supply expenses;
• Inpatient and outpatient physiotherapy (physical medicine) expenses;
• Dental expenses for injury to sound, natural teeth;
• Rehabilitative braces and appliances;
• Outpatient prescription drug expenses;
• Rental of a wheelchair;
• Blood, blood products, artificial blood products, and the transfusion thereof;
• Oxygen or rental equipment for administration of oxygen.
Terms
In addition to the general exclusions, we will not pay Accident Medical Expense Benefits for any loss, treatment, or services resulting from or contributed to by:
• Treatment by persons you employ or retain or by any immediate family member or member of the covered person's household
• Treatment of sickness, disease, or infections except pyogenic infections or bacterial infections that result from the accidental ingestion of contaminated substances
• Treatment of hernia, Osgood-Schlatter disease, osteochondritis, appendicitis, osteomyelitis, cardiac disease or conditions, pathological fractures, congenital weakness, detached retina unless caused by an injury, or mental disorder or psychological or psychiatric care or treatment (except as provided in this proposal), whether or not caused by a covered accident.
• Pregnancy, childbirth, miscarriage, abortion, or any complications of any of these conditions.
• Mental and nervous disorders (except as provided in this proposal).
• Damage to or loss of dentures or bridges or damage to existing orthodontic equipment (except as specifically covered by this proposal).
• Injury covered by workers' compensation, employers' liability laws, or similar occupational benefits or while engaging in activity for monetary gain from sources other than you.
• Injury or loss contributed to by the use of drugs unless administered by a doctor.
• Cosmetic surgery, except for reconstructive surgery needed as the result of an injury
• Any elective treatment, surgery, health treatment, or examination, including any service, treatment, or supplies that are deemed by us to be experimental and are not recognized and generally accepted medical practices in the United States
• Eyeglasses, contact lenses, hearing aids, examinations, or prescriptions for them or repair or replacement of existing artificial limbs, orthopedic braces, or orthotic devices.
• Expenses payable by any automobile insurance without regard to fault. (This exclusion does not apply in any state where prohibited).
• Conditions that are not caused by a covered accident.
• Participation in any activity or hazard not specifically covered by this proposal.
• Any treatment, service, or supply not specifically covered by this proposal.
Temporary Total Disability Benefit
We will pay an additional benefit if the insured is temporarily totally disabled as a direct result of a covered accident. Benefits will be paid when :
1. the benefit waiting period, as shown in the Schedule of Benefits, is satisfied and 2. the insured has provided us satisfactory proof of temporary total disability.
Benefits will end on the date:
1. The insured dies; or
2. He or she is no longer temporarily totally disabled; or
3. The maximum benefit period for this benefit ends; or
4. The insured fails to submit satisfactory proof of continuing temporary total disability
“Total Disability” or “Totally Disabled” means, due to an Injury from a Covered Accident, the Insured:
1. if employed, cannot do any work for which the Insured is, or may become, qualified by reason of education, experience or training; and 2. if not employed, cannot perform the normal and customary activities of a healthy person of like age and sex.
Exclusions
We will not pay benefits for any loss or injury that is caused by, or results from:
• Intentionally self-inflicted injury.
• Suicide or attempted suicide.
• War or any act of war, whether declared or not.
• A covered accident that occurs while on active duty service in the military, naval, or air force of any country or international organization. Upon our receipt of proof of service, we will refund any premium paid for this time. Reserve or National Guard active duty training is not excluded unless it extends beyond 31 days.
• Sickness, disease, bodily or mental infirmity, bacterial or viral infection, or medical or surgical treatment thereof, except for any bacterial infection resulting from an accidental external cut or wound or accidental ingestion of contaminated food.
• Piloting or serving as a crewmember in any aircraft (except as provided by this proposal).
• Commission of, or attempt to commit, a felony.
• An accident that results in a cardiovascular accident or stroke caused solely and exclusively by exertion, as verified by a doctor, while the covered person participates in a covered activity.
• Travel or activity outside the United States, Canada, or Mexico.
• Riding in any aircraft except as a fare-paying passenger on a regularly scheduled or charter airline.
• Commission of or active participation in a riot or insurrection.
• Injury covered by Workers' Compensation, Employer's Liability Laws, or similar occupational benefits.
• Injury or loss contributed to the use of any drugs or narcotic, except as prescribed by a doctor.
This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to, the payment of claims.
Definitions
“Active Service” means a Covered Person is either 1) actively at work performing all regular duties at his or her employer’s place of business or someplace the employer requires him or her to be; 2) employed, but on a scheduled holiday, vacation day, or period of approved paid leave of absence; or 3) if not employed, able to engage in substantially all of the usual activities of a person in good health of like age and sex and not confined in a Hospital or rehabilitation or rest facility
“Covered Accident” means an accident that occurs while coverage is in force for a Covered Person and results directly and independently of all other causes in a loss or Injury covered by the Policy for which benefits are payable.
“Covered Activity” means any activity in which a Covered Person must be engaged when a Covered Accident occurs in order to be eligible for benefits under the Policy. These Covered Activities are listed in the Schedule of Benefits and described in the Hazards section of the Policy.
“
Covered Loss” or “Covered Losses” means an accidental death, dismemberment or other Injury covered under the Policy.
“Covered Person” means any eligible person, including Dependents if eligible for coverage under the Policy, for whom the required premium is paid. If the cost for this insurance is paid for by the Policyholder, individual applications are not required for an eligible person to be a Covered Person.
“Injury” means accidental bodily harm sustained by a Covered Person that results directly and independently from all other causes from a Covered Accident. The Injury must be caused solely through external, violent and accidental means All injuries sustained by one person in any one Covered Accident, including all related conditions and recurrent symptoms of these injuries, are considered a single Injury.
“Insured” means a person in a Class of Eligible Persons for whom the required premium is paid making insurance in effect for that person.
“ Sickness” means an illness, disease or condition of the Covered Person that causes a loss for which a Covered Person incurs medical expenses while covered under this Policy. All related conditions and recurrent symptoms of the same or similar condition will be considered one Sickness.
